title: Treatment of acute cholangitis with hepatolithiasis.
abstract: OBJECTIVE
  To evaluate the treatment of recurrent acute cholangitis with hepatolithiasis.
  
  
  METHODS
  We retrospectively analyzed the clinical data of patients with recurrent acute cholangitis who were treated in Peking Union Medical College Hospitals emergency department from January 1998 to December 2008.
  
  
  RESULTS
  Totally 408 patients underwent surgery, of which 167 patients received emergency operations and 241 underwent selective operations after medication and interventional treatment. The incidence of complications was 6.4% among those who received emergency operations and 3.2% among selective operations. The 30-day mortality rate of selective operations was zero.
  
  
  CONCLUSIONS
  Along with the progress of percutaneous cholangiographic drainage and endoscopic retrograde cholangiopancreatography, selective operations have been increasingly applied for acute cholangitis with notably low complications and postoperative death.
authors.affiliation: Department of Surgery, PUMC Hospital, CAMS and PUMC,Beijing 100730, China.
authors.forename: Li
authors.initials: L
authors.lastname: Bing-lu
authors.forename: Zheng
authors.initials: Z
authors.lastname: Chao-ji
authors.forename: Liu
authors.initials: L
authors.lastname: Wei
authors.forename: Hong
authors.initials: H
authors.lastname: Tao
authors.forename: Xu
authors.initials: X
authors.lastname: Xie-qun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002761:Cholangitis / Q000209:etiology / Q000601:surgery*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult